Survey Summary
Customer Information
Shipper Name:
Ann Marie
Email:Email:annmarienicholasdesouza@gmail.com
Survey Date:
Origin Address:
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Drum
2
21
139
Residence
Total
21.5
139.5
Owner Signature
____________________
Crates
Item
Width
Length
Height
Drum
22.50
22.50
33.50
Cartons
Box Name
Quantity
1.5 carton
0
3.0 carton
0
4.5 carton
0
6.0 carton
0
Dish packs
0
Mirror cartons
0
TV cartons
0
StandUp Wardrobe
0
Lamp Carton
0
Mattress (single)
0
Mattress (Double)
0
Mattress (Queen)
0
Mattress (King)
0
Flat Wardrobe
0